Tag Archives: smoking and dental implants

Considerations Before Getting Dental Implants

illustration of a dental implant
Dental Implant Diagram

You’ve lost a few teeth and need to replace them. While all the buzz is about dental implants when it comes to tooth replacement options, there are some things to ask yourself before deciding. Here are some questions to consider:

Have All My Options Been Explained?

Yes, dental implants are a fantastic way to replace missing teeth, but it’s important you know your options so you can be sure you chose the correct option for you. For instance, if you’re only replacing one tooth, but one or more of the two adjacent teeth need crowns, then a dental bridge would make more sense. If you’re missing all your teeth, getting a dental implant on every tooth would cost up to $84,000. Getting implant overdentures addresses all the same needs with significant cost savings. Be sure to ask your dentist to explain all your options along with their pros and cons when you book your consultation.

Are You Committed to Proper Oral and Health Care?

If you’ve lost your teeth because you have gum disease, that will have to be addressed before getting dental implants. Gum disease will cause the implant to fall out just the way your teeth did. Once your gums are healthy, it’s fine to go ahead and get the implants. However, if you’re not willing to care for your teeth with regular brushing and flossing, along with visits to the dentist, you’ll end up right back where you are now. In that case, you’d be better off not investing in something you won’t care for. Removable partial dentures may be a better option for you.

If you’re a smoker, this is a larger contributor to both gum disease and dental implant failure. The reason behind that is smoking causes a reduction of blood flow in your gums. This slows healing time, which often leads to infections. You’ll want to consider quitting or at least severly cutting back if you’re serious about dental implants.

Think About Your Long-Term Goals

These are meant to be a permanent replacement. That’s great, but if you’ve been unhappy with a dingy smile, you’ll want to take care of that before getting your implants done. Get your teeth whitened. This way when your dentist creates your implant crowns, they can be made to match your beautiful new fresher, whiter color. It’s a great way to come away with not just a full set of chompers, but one you’re proud to share as well. Make sure you discuss with your dentist any long-term goals you have for your smile at your consultation. This way the two of you can work out a logical plan that will save you money in the end.

Make Sure You Book with an Experienced Implant Dentist

This is an advanced procedure which requires extensive post-doctoral training. Don’t hesitate to ask the dentist where they received their dental implant training as well as the number of cases they have performed, as well as their success rate. It should be around 98%.

While not everyone is a dental implant candidate. They are the closest option to having healthy natural teeth in your mouth.

This blog is brought to you by Salem, MA Cosmetic Dentist Dr. Randall Burba.

Can a Diabetic Get All-on-4 Dental Implants

After my husband died I really struggled. I stopped taking care of myself. I gained 100 pounds, developed diabetes, and even developed gum disease which led to losing several teeth. I didn’t care. Then, one day I was at a park and smiled at a little girl and she asked if I was homeless. I realized then, things had to change. I have a full life ahead of me. I started eating right. I joined a gym. I’ve almost completely lost all the weight I gained and I no longer have gum disease. I asked my dentist about what he recommended for my missing teeth and he suggested all-on-4 dental implants. I was super thrilled about the idea of having a full mouth of teeth again. But, I went home to do some research and learned that diabetics shouldn’t get them. I don’t want to pay all that money if it’s not going to work. What should I do? I really want teeth again.

Carra

Dear Carra,

illustration of a dental implant

First, let me add my condolences. Don’t be too hard on yourself regarding how you dealt with your grief in the beginning. It’s almost suffocating to lose a loved one and we all seem to lose ourselves at first too. You should be really thrilled with the incredible progress you’ve made since then. I think the healthy changes you’ve made are remarkable.

For the most part, dental implants have a 98% success rate when done by an experienced implant dentist. There are some factors which make patients more at risk for implant failure. The biggest of these are:

  • Gum Disease
  • Smoking
  • Uncontrolled Diabetes

You’ve already taken care of your gum disease, which is huge. A responsible dentist will NEVER give a patient who has gum disease dental implants. There’s no way for your body to retain them well, just like when you suffered from gum disease, they couldn’t retain your natural teeth. They will fail. Because you’ve already turned that around it’s not a worry for you.

You didn’t mention anything about smoking, which I hope means you’re not a smoker. Smoking lowers your blood flow in your gums which increases your risk of infection, a leading cause of dental implant failure. You also increase your risk of redeveloping gum disease.

Your diabetes is under control, so again, Yay! not a problem for you. I think you’re likely a good candidate for dental implants.

Are All-on-4 Dental Implants the Right Choice for You?

The only real reason to do the All-on-4 procedure rather than traditional implants is bone loss. Sometimes, with gum disease and tooth loss, you lose so much jawbone structure you don’t have enough to retain dental implants. All-on-4 is one way to get around that. However, there is a better, more reliable option.

If you don’t have enough bone to support traditional dental implants, I’d consider getting bone grafting done. It will build back up your bone structure. Then you’re free to get whatever procedure you want. I hope this helps you make your decision.

Best of luck and congratulations on all your hard work!
This blog is brought to you by AACD Accredited dentist Dr. Randall Burba.

Now That My Implants Are Secure, Can I Smoke?

I had implants placed over eight months ago. My dentist insisted I quit smoking before he’d do them, which I did. The healing time is all over and I’ve been doing just fine. I know it’s been a while, but I am still craving cigarettes. Is okay to start smoking now that everything’s stable?

Jason B. – Idaho

Jason,

You’ve done so well without smoking, I’d hate for you to go back now.  You might be thinking just one, but before you know it,  you’ll be back to a pack a day.

I know it seems like you’re in the clear now that the healing time is over, but patients who smoke are at a much higher risk of dental implant failure than other patients.

Smoking reduces the blood flow in your gums, which increases the chance for gum disease and infection. That will cause your implants to fail.

I know it’s hard, but you’ve made so much progress. Don’t give up now!

This blog is brought to you by Dr. Randall Burba.

Can my dentist really refuse to give me dental implants?

My dentist said if I don’t quit smoiking that he won’t give me dental implants. Can he really do that? Isn’t it my body and my decision?

Chuck S. – West Virginia

Chuck,

If you wanted to hire a contractor to add a room to your house and insisted he use termite infested wood, wouldn’t he refuse?  The wood would never hold up.  The same principle applies when  you’re a smoker with dental implants.

Even under ideal conditions, dental implants are a difficult procedure.  When everything is done right, there can still be dental implant failure.  A dentist would not want to start off at a disadvantage.

When you smoke, it affects the blood supply in your gums.  This in turn makes healing more difficult, which could lead to your implants not taking.

While it is your body, your dentist is responsible for your procedure and wants to make sure it has the best chance of success.

If you want this dentist, then you’ll need to quit smoking.  Otherwise, you can call around and find a dentist who is willing to do the procedure anyway.  Just make sure you research that dentist and are sure he or she is truly qualified for such a difficult, advanced procedure.

This blog is brought to you by Boston Cosmetic Dentist Dr. Randall Burba.